| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208.96 | $208.96 | $4,601.33 | |
Aetna
| Professional | $79.63 | $81.31 | $81.31 | |
Highmark BCBS
| Facility | $4,544.93 | $4,544.93 | $4,544.93 | |
United
| Professional | $79.70 | $97.60 | $191.92 |